Treatment results of open fractures of tubular bones

Abstract

The aim of the study: evaluation of the results of the treatment of open fractures of tubular bones in patients treated in the department of Ortopedics in the IEM from Chisinau. Material and methods: during the period 2015-2016, 48 patients were examined and treated for open fractures of the tubular bones. Out of the total number of patients, 91,7% of patients underwent surgical treatment. The sex ratio being: women – 21 and men – 27 persons, the average age was 48 years (21-85 y.o.). The distribution by fractured segments is: humerus -8, forearm bones -13, femur -5, shin bones -22 cases. The AO and Gustilo-Anderson classifications were applied. In 4 cases there were applied nonsurgical treatment. In the rest of the patients treated surgically, the distribution of methods of osteosinthesis was: ORIF -9; osteosinthesis by K-wires -9; Ilizarov’s method -11; external fixation -2 cases; locked intramedullary nailing -6; tension band wiring -2; amputation (MESS score 9 points) -1 case. Results: Immediate results were appreciated according to postoperative radiological appearance, in 97,91% cases all the fractures united in axial alignment, it was appreciated as positive results. Follow-up results valued according to radiological appearance, full range motion of the traumatized limb, and the quality of life: excellent and good in 42 cases, satisfactory – 2 cases and unsatisfactory – 4 cases. There were determined the following complications: joint stiffnes -2 cases, femoropatellar artrosis – 1 case, slow fusion -1 cases, infectious complications -2 cases, amputation – 1 case. Conclusions: There is a big incidence of open fractures of tubular bones. A lot cases of open fractures were treated in surgical way. The treatment for open fractures in the department of Orthopedics in IEM shows good results.